Fill and Sign the Law Enforcement Information Sheet Minnesota Domestic

OFP105 State ENG Rev 7/15 www.mncourts.gov/forms Page 1 of 3 State of Minnesota District Court County Judicial District: Court File Number: Case Type: Domestic Abuse In the Matter of: Petitioner (first, middle, last) Law Enforcement Information Form On behalf of: and for her/himself vs. Respondent (first, middle, last) INSTRUCTIONS TO PETITIONER IMPORTANT! PLEASE READ CAREFULLY! The Sheriff will personally serve the Order for Protection (OFP) on the Respondent. It is important that the Sheriff have accurate and detailed information to help locate the Respondent and avoid delay. While y ou are not required to give all the information requested on this information form, please provide any information you do have. If you do not provide this information, it may be more difficult to locate the Respondent and it could make service more dangerous for the Sheriff and others. Please do not let the Respondent know that the OFP is going to be served on him/her. This advan ce notice could make service more dangerous for the Sheriff and others . INFORMATION ABOUT PERSON BEING SERVED: Name (First, middle, and last) Nickname or Alias (AKA) Address Currently Living: Apt. # City State Zip Phone Cell phone Pager Does person own a vicious animal? _______________ Does person carry a gun? OFP105 State ENG Rev 7/15 www.mncourts.gov/forms Page 2 of 3 Is this person in custody? Where? ______ Is this person a Law Enforcement Officer ? Yes  No  Is the person being served currently home? Yes  No  Unsure . If no, do you expect the person to return to the residence? Yes  No . If yes, what day and time: ________________________________ Are there any young children at home? Yes  No Name Gender Race __ Age __ Name Gender Race Age __ Is the person being served an Alcoholic? Drug abuser? __________ Have access to weapons? ______ Type? ______________________________ Affiliated to Gang? ____ ________ What gang ? Warrants? _________ This person does/does not expect the order ? Hostile to law enforcement? DESCRIPTION OF PERSON BEING SERVED: Birthdate Race Gender Primary language (Or if unknown, Approx. Age) Weight Height Eye color Hair color Beard Mustache/goatee Glasses Scars Where?/What? Tattoo(s)? Where?/What? LOCATIONS WHERE PERSON BEING SERVED MAY BE FOUND : Employer’s nam e: Address City State Zip Phone Days Hours This person may also be found at the home of: Address City State Zip Phone Other info. Person being served ma y also be found at: School:  Daycare:  Church:  Other:  Name of Facility Address City State Zip Phone Days Hours DESCRIPTION OF PERSON BEING SERVED VEHICLE(S) Make & Model Year License Number State on license plate Number of Doors - 2 door:  / 4 -door:  Color : ____________________________________ OFP105 State ENG Rev 7/15 www.mncourts.gov/forms Page 3 of 3 OTHER LAW ENFORCEMENT AGENCIES TO CONTACT: Agency Name Reason to Contact Agency Name Reason to Contact Agency Name Reason to Contact Probation/Parole Officer Name : THE INFORMATION CONTAINE D IN THIS FORM IS TRUE AND CORRECT TO THE BEST OF MY KNOWLEDGE. Signature: _____________________________________________ Date: _________________________________________________ YOUR INFORMATION: DO NOT PUT PHONE NUMBERS HERE IF CONFIDENTIAL Name: Cell Phone: Home Phone: Work Phone: